FREE CATALOG

Thanks for requesting our latest
assistive technology catalog.

Name
Title
		Other Title (please specify)
School/Organization
Email
Address
City	State/Province Zip/Postal Code
Phone

At my school/district, I am responsible for:

A few students
Many students
A large-scale literacy improvement plan or intervention program

My specific initiatives this year are to:

What solutions best fit your students' needs?

Writing software (word prediction, graphic organizers, talking processors)
Supplemental reading materials and curricula
Technology to provide access to the curriculum (text readers, display makers)
Early reading and phonics software
Access hardware/software (switch interfaces, portable devices)
Professional services (product training, UDL Institutes, implementation)
Other (please specify)

How did you first learn about us?

Other (please specify)

We appreciate referrals! Who referred you?

Help us thank the person that referred you!

Name

Purchasing Decisions

I plan to purchase this year for my school or district: Yes No
We typically purchase in the: Spring Summer Fall Winter

Best way to contact you:

Best way to contact you: Email Phone

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